hello my request is about a circumcision revision im currently 25 i chose to get circumcised when i was 23 just about to turn 24 im very please with my choice how ever my girl friend and i are very unpleased with the outcome of the procedures looks i have a relatively loose circumcision and the scar line came out very uneven with lots of skin tags and scar bumbs i was curious if it was possible to correct these flaws as well as creating the aesthetic look i was hoping for when erect and flacid if there is any information or help you can provide it would e greatly appreciated thank you
HEAR: from yahoo groups  Robert

July 25, 2010

Good morning Robert,

Thank you for your interest in what we do.  What you described is quite common but did not have to be.  A circumcision should be the highest cosmetic calling of a urologist.

We have performed over 6000 cosmetic circumcisions in the past 35 years and quite a few revisions as well, usually doing several cases every week.

Harold M. Reed, M.D.
305-865-2000

Hello Dr. Reed. Well I was recently circumsiced at 44 years old for irritation problems. This surgery was 10 days ago and I’m not too happy with how my penis looks. Theres some skin bunching over my glans. It is only when I’m very flaccid and soft and when I’m sitting. Dr said it will flatten in a couple of months  because the skin is still swallen. I have a small penis when flaccid and with this bunching skin behind and a little over my glans it doesn’t look good. when erected looks very nice and circumsiced and shows a completaly bared glans and the skin stretched. Is it true that after heal is completed and the swallen in gone that the skin will retract completaly when flaccid? If not I’m thinking on have it fixed by you.  Rudolfo.

July 24, 2010

Good morning Rudolfo,

Thank you for your interest in what we do.

We have performed over 6000 cosmetic circumcisions and revisions in the past 35 years and usually do several cases every week.

If when your penis is erect the penile shaft skin could still be tighter without lifting of pubic skin, then there is room for “tightening.”

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

Hi Dr Reed, I am 37 years old and I am interested in getting my phimotic condition corrected with circumcision. I understand that you use micro sutures used in plastic surgery. Are these self-dissolving sutures? Would I need to revisit you or go to a local urologist to have the sutures removed? Also, what are your normal office hours for me to call your office manager to schedule an appointment with you? Thank you, Arnaud

Hi Arnaud,

Thank you for your interest in what we do.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  Many of our patients have phimosis so we well understand the principles of getting the best result.

Our sutrures while fast absorbing still should be removed 12 days after surgery to prevent permanent cross hatch marks (ghost lines and pin holes).  Please do not let anyone talk you out of having them removed, by saying “they are absorbable, they’ll melt out.”

This should be done by a health care practitioner who has a bright over head light, loupes (eyeglass with little telescopes on  the end) and delicate plastic surgery instruments  like for removing eyelid sutures)  EMLA cream could be applied for 20 minutes beforehand if you are very sensitive.  Some urologists have this equipment in their office if they do delicate surgery, or consider an urgent care center, or an emergency room of a quiet community hospital (not a county “zoo”). 

Next to the nose on your face, your penis is a very important cosmetic structure and standards for care should be no different.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment 3 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years, and next week a father and 3 sons! 

This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected.   I was wondering when i recover can i get a consultation with you.”   Photos sent and received (unspoken comment “disaster zone”)

Our office hours are from 9 to 5, Monday through Friday.     Be assured  we will show you every courtesy.

          
                                                                                                                                                      
With kindest regards,
Harold M. Reed, M.D.
305-865-2000

June 29, 2010

Just curious to know if there is a difference in sensation from a low cut to a high cut , do nerves in your opinion really rechannel themselves. Take care, Antonio

Good morning Antonio,

Thank you for your interest in what we do.  Regarding high or low cut, there is no known difference in sensation leading to “mean ejaculatory latency time, MELT.”   After all is said and done MELT is the best indicator of sensation.   Yes, in the penis a lot of experience has shown that distal nerves do regenerate.  Not to worry.

When I perform a circumcision I am well above the layer of the neuro-vascular bundle.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

June 29, 2010

Hi Dr. Reed,

I am interested in circumcision revision. I was circumcised at age 11, I’m now 32. Since I was old enough to know the difference, I’ve been very unhappy with how my penis looks. Based on my research, the procedure was done freehand using sutures. The incision line is uneven and I have a couple dozen suture scars around the top of the shaft just under the glans. (Kind of like railroad tracks.) Most of the suture scars are quite thick and pronounced. Many of them touch and even enter the corona. My question is: could a revision help clean up the look of my penis? I know it will never be “perfect” but I would love to lose the ragged, scarred look if possible.   Matthew

Good morning Matthew,

Thank you for your interest in what we do.   This is a letter we send to “virginal” patients.  Your situation is one we see frequently and I am confident with proper revision you’ll look a whole lot better.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment 3 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men  who have not seen the heads of their penis for 20 years, and next week a father and 3 sons! 

This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected.   I was wondering when i recover can i get a consultation with you.”   Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

With kindest regards,
Harold M. Reed, M.D.
305-865-2000

Dr. Reed, I would like your services for circumcision. Due to travel, it would be wonderful if this could be done on June 4 or June 7,8, or 9. I am 33 years old and have been previously circumcised, but very loosely so that I appear to be completely uncircumcised except for a scar far back on my penis. I would like this scar line to be part of the skin removed in the new cutting to avoid having two scars. I would like the frenulum to be totally excavated and the result to remove as much of the inner skin as possible. I want the glans to be totally exposed at all times with no skin bunching behind, but I also want to have a full erection with no discomfort.  Lenny

May 23, 2010

Good morning Lenny,

Thank you for your interest in what we do.  Eveything you request sounds reasonable and can be done.   One of those days should certainly be available.  Please call Anne to make an appointment.  If you need to speak with me directly for any reason, I can be reached at 828-891-1xxx (on retreat in the Carolinas).

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

Be assured we will show you every courtesy,

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

Hi Dr. Reed -

I am interested in the possibility of having some excess skin removed that bunches on the underside of the penis. This wouldn’t be a circumcision, as I am already circumcised, but more of a ‘penis lift’, I guess, for lack of a better term.  I’m concerned about preserving a particular area of sensitivity on the underside, however, so I’m just curious about what my options, if any, might be for something like this. 

My guess is that a consultation may be in order.  I am in New York, however, and I’m wondering how you go about scheduling consultations for out-of-towners.  Do you request photos first to get a sense of things? If you are able to determine if things can move forward, are consultations and procedures usually scheduled within close proximity, or are subsequent visits are usually made? In this case, though, I suppose it’s best to see first what can be done with my particular situation.

Thank you in advance for your time.  I look forward to hearing from you.

Regards,
Clinton

Good afternoon Clinton,

Thank you for your interest in what we do.  If you will, E-mail me several well focused photos of yourself.  Bunching of skin on the underside may relate to the fact the doctor did not do any even approximation all the way around, which could have been accomplished (usually) if he bisected his suture approach (6 o’clock followed by 12 o’clock followed by 3 and then 9 and so on.   However, we can correct this now.  You may have a longitudinal incsion on the underside, but this should heal fairly neatly.

Best wishes,

Harold M. Reed, M.D.

i cant retract my foreskin at all because my opening is so small,and i am planning on getting circumcised.will i need to do anything special prior to the operation and will that cause any complications or any difficulties during or after the procedure?

Jason

Hi Jason,

Thank you for your interest in what we do.  To answer your question, do not manipulate your foreskin or traumatize it for a few days before surgery.  Better for me to see what is actually phimotic (or contracrted) as that has to go.  Most probably you will not have a high circucmsion , could be moderate to low, but if I leave any scar tissue behind you’ll have big time swelling of ther distal shaft once that ring of scar tissue is re-sited above your head.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment 3 days after circumcision.   Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years.   This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised  two days ago and my result was not what i expected.   I was wondering when i recover can i get a consultation with you.”   Photos sent
and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

Good morning Miklos,

Your namesake Miklos was a Hungarian born award winning composer and conductor, best known for his numerous film scores.

Thank you for your interest in what we do.  How to handle tissues, knowing what to do is as important as knowing what not to do.  Why do some bakers’ popovers barely rise above the muffin tin and others balloon out like giant mushrooms?

We have performed over 5500 cosmetic circumcisions in the past 35 years and usually do several cases every week.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) and I will see you there daily.

You could return to an office environment 3 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

We have done sons of physicians, medical students and residents, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years, and next week a father and 3 sons! 

This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected.   I was wondering when i recover can i get a consultation with you.”   Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

Hello Doctor Reed,

It makes me relieved to have found your site and to know that there are circumcision specialists.

I underwent circumcision 7 weeks and I’m very dissatisfied with the results. Apparently the suturing was poorly performed, resulting in bumps that (to me at least) resemble warts. There’s also an area
around the scar line that folds inward (as seem in picture DSCN0474) when the penis is erect.

As for me it’s a long way to drop by for just a consultation (I live in Brazil), I was wondering if you could take a look at attached pictures and give me an idea of what I should expect from a revision surgery. Can I have a good looking scar line again?

The pictures were taken today, 48 days after the procedure.

Thank you,

Alexildo

April 27, 2010

Good morning Alexildo

Your photos have been reviewed and several thoughts come to mind. Until a doctor-patient relationship has been established, I do not wish to critique what you and I both see.

Fair to say you need to wait a good 3 to 4 months after your original procedure (adult circumcision) before a revision can be done. Your situation may improve somewhat without my intervention, but I am not sure, even then you will be happy unless a touch up is done.

Please initiate a phone consultation with our office. Puckers are often the result of widely placed, overly tight large caliber sutures, and regretfully may persist unless revised.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000